Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.25 / $18.25 / $18.25	Facility	26	$18.25	$18.25	$18.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $47.88 / $164.00	Professional		$34.07	$47.88	$164.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $20.53 / $122.46	Professional	26	$18.25	$20.53	$122.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $33.47 / $66.94	Professional		$19.84	$33.47	$66.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $53.92 / $94.95	Professional		$37.07	$53.92	$94.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $30.01 / $45.23	Professional	26	$21.44	$30.01	$45.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $32.34 / $71.87	Professional		$30.26	$32.34	$71.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $57.87 / $132.41	Professional		$38.76	$57.87	$132.41
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $29.37 / $40.09	Professional	26	$21.44	$29.37	$40.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $61.21 / $81.59	Professional		$45.00	$61.21	$81.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $32.77 / $42.90	Professional	26	$26.20	$32.77	$42.90